摘要
目的:调查卒中恢复期患者陪护人员的不良心理现状并分析其影响因素。方法:选取2021年6—10月临汾市中心医院诊治的135例卒中恢复期患者的陪护人员为研究对象进行回顾性分析,将出现焦虑、抑郁者归为不良心理组,其余归为心理正常组。比较两组陪护人员一般资料及患者情况,采用Logistic回归分析卒中恢复期患者陪护人员出现不良心理的影响因素。结果:135名陪护人员焦虑自评量表(SAS)评分为(50.12±8.44)分,抑郁自评量表(SDS)评分为(55.35±7.45)分,存在焦虑、抑郁至少1项的有76名,占56.30%。不良心理组中女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性疾病、每日陪护时间较长,以及患者依赖程度、吞咽障碍及神经功能缺损程度为重度占比均高于心理正常组,差异有统计学意义(P<0.05)。陪护人员为女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性病、每日陪护时间较长及患者伴有重度依赖、重度吞咽障碍、重度神经功能缺损均为导致卒中患者陪护人员出现不良心理的危险因素(OR>1,P<0.05)。结论:卒中患者陪护人员不良心理发生率较高。陪护人员为女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性病、每日陪护时间较长及患者伴有重度依赖、重度吞咽障碍、重度神经功能缺损均为导致卒中患者陪护人员出现不良心理的危险因素。
Objective:To investigate adverse psychological status and influencing factors of accompanying staff of patients with stroke in convalescent period.Methods:From June to October 2021,the accompanying staff of 135 patients with stroke in convalescent period in Linfen Central Hospital were selected as the research objects for retrospective analysis.Those with anxiety and depression were classified as the adverse psychological group,and the rest were classified as the normal psychological group.The general information of the accompanying staff and the conditions of the patients of the two groups were compared.Logistic regression was used to analyze the influencing factors of adverse psychology in the accompanying staff of the patients with stroke in convalescent period.Results:The SAS score of the 135 accompanying staff was(50.12 ± 8.44) points,and the SDS score was(55.35 ± 7.45) points.76 cases,accounting for 56.30%,had at least one item of anxiety and depression.The proportions of the accompanying staff as women,employed person,with lower family income,with no accompanying experience,with fewer auxiliary accompanying personnel,with chronic diseases,with longer daily accompanying time,and the patients with a higher degree of dependence,severe swallowing disorders,and severe neurological deficits in the adverse psychological group was higher than those in the normal psychological group,and the differences were statistically significant(P<0.05).The accompanying staff as women,employed person,with lower family income,with no accompanying experience,with fewer auxiliary accompanying personnel,with chronic diseases,with longer daily accompanying time,and the patients with a higher degree of dependence,severe swallowing disorders,and severe neurological deficits are the influencing factors of adverse psychological status of the accompanying staff of the patients with stroke in convalescent period(OR>1,P<0.05).Conclusions:The accompanying staff as women,employed person,with lower family income,with no accompanying experie
作者
程华
朱瑜
张智霞
段冬仙
洪珍兰
CHENG Hua;ZHU Yu;ZHANG Zhixia;DUAN Dongxian;HONG Zhenlan(Department of Rehabilitation Medicine of Linfen Central Hospital,Linfen 041000 Shanxi,China;Nursing Department of Shanxi Acupuncture and Moxibustion Hospital,Taiyuan 030006 Shanxi,China)
出处
《中国民康医学》
2024年第13期1-4,共4页
Medical Journal of Chinese People’s Health
关键词
卒中
恢复期
陪护人员
不良心理
焦虑
抑郁
影响因素
Stroke
Convalescent period
Accompanying staff
Adverse psychology
Anxiety
Depression
Influencing factor
